Mechanisms of change in self-care in adults with heart failure receiving a tailored, motivational interviewing intervention
Journal article
Riegel, Barbara, Dickson, Victoria, Garcia, Lydia Elena, Creber, Ruth Masterson and Streur, Megan. (2017). Mechanisms of change in self-care in adults with heart failure receiving a tailored, motivational interviewing intervention. Patient Education and Counseling. 100(2), pp. 283 - 288. https://doi.org/10.1016/j.pec.2016.08.030
Authors | Riegel, Barbara, Dickson, Victoria, Garcia, Lydia Elena, Creber, Ruth Masterson and Streur, Megan |
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Abstract | Self-care is challenging but we previously demonstrated that motivational interviewing (MI) was effective in improving heart failure (HF) self-care. Objective To identify the mechanisms of intervention effectiveness by elucidating the MI techniques used and the relationship between the techniques and changes in self-care. Methods Audiotaped sessions (first and subsequent sessions) from 8 participants were transcribed verbatim and coded to evaluate changes in self-care. Using a sequential mixed method design, quantitative and qualitative self-care data were triangulated; congruence was 97%. The MI techniques used and mechanisms of intervention effectiveness were identified from the qualitative data. Results Three MI techniques used were related to improved self-care: 1) reflection and reframing, 2) genuine empathy, affirmation, and humor, and 2) individualized problem solving. These techniques stimulated openness to goal setting, positive self-talk, perceived ability to overcome barriers, and change talk. The mechanisms by which the techniques achieved the desired outcomes were the development of discrepancy and self-efficacy, which are consistent with the principles of MI. Conclusion This study contributes to clarifying the mechanism by which MI facilitates behavioral change. |
Keywords | Behavioral change; Motivational interviewing; Patient compliance; Counseling; Self-management |
Year | 2017 |
Journal | Patient Education and Counseling |
Journal citation | 100 (2), pp. 283 - 288 |
Publisher | Elsevier Ireland Ltd. |
ISSN | 0738-3991 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.pec.2016.08.030 |
Scopus EID | 2-s2.0-84995495203 |
Page range | 283 - 288 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | Ireland |
https://acuresearchbank.acu.edu.au/item/89w69/mechanisms-of-change-in-self-care-in-adults-with-heart-failure-receiving-a-tailored-motivational-interviewing-intervention
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